DR. TANIYA PRADHAN M.D.
NPI 1275709859
Psychiatry & Neurology - Psychiatry in Ottumwa, IA

Active since May 05, 2008PECOS EnrolledAccepts Medicare Assignment
1001 PENNSYLVANIA AVE, OTTUMWA, IA 52501(641) 684-2300 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 27, 2026, Mar 21, 2025, Sep 11, 2024 and 3 more (6 updates tracked since 2020).

About Dr. Taniya Pradhan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TANIYA PRADHAN M.D. (NPI 1275709859) is an individual psychiatry provider in Ottumwa, Iowa, licensed in Michigan (EMC0001038) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Floyd Medical Center, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1275709859
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. TANIYA PRADHANCredential: M.D.
Location Address1001 PENNSYLVANIA AVEOttumwa, IA 52501-6427
Mailing Address1 Ford Pl Ste 2eDetroit, MI 48202-3450 · (313) 874-4806
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 5, 2008
Last NPPES UpdateApril 27, 20266 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
NPI 1275709859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses Licensed in MI · EMC0001038 Licensed in TN · 63768 Licensed in OH · 35C.003424 Licensed in WV · 25383 Licensed in MS · 29150 Licensed in SC · 89664 Licensed in AR · E-15283
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1001 PENNSYLVANIA AVE, Ottumwa, IA 52501

Secondary Practice Locations 5

Location 17601 Southcrest PkwySouthaven, MS 38671-4739 · Phone (662) 772-4000 · Fax (662) 772-2111
Location 22799 W Grand BlvdDetroit, MI 48202-2608 · Phone (800) 653-6568
Location 3930 Chestnut Ridge RdMorgantown, WV 26505-2807 · Phone (304) 293-5251
Location 4146 E Hospital Dr Ste 120AWest Columbia, SC 29169-4800 · Phone (803) 936-7460 · Fax (803) 936-7462
Location 5272 Hospital RdChillicothe, OH 45601-9031 · Phone (740) 779-7500

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Taniya Pradhan M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274751706
PECOS Enrollment IDI20140826000716, I20210621001342, I20220321002226, I20220608000466, I20220824003812, I20220824003835, I20221110000144, I20230831000682, I20231127003327, I20240124000436, I20241017003338, I20241106004324, I20250812000448
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
57 services56 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
27 services26 patients
Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth G0425
A telehealth consultation is a remote medical service where a doctor assesses your health condition through a video call. In an emergency or initial inpatient scenario, this typically lasts for about 30 minutes. This method allows for prompt, efficient care without needing to be physically present in a healthcare facility.
17 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Atrium Health Floyd Medical Center

Acute Care Hospitals · Rome, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110054
Location304 Turner Mccall BoulevardRome, GA 30162 · Floyd County
Birthing friendly

United Hospital Center, Inc

Acute Care Hospitals · Bridgeport, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510006
Location327 Medical Park DriveBridgeport, WV 26330 · Harrison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$161.40 typical visit price
range $52.96 – $161.40
Typical copayment $40.35 (range $13.24 – $40.35)
Most-billed visit code 99205
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Acute Care Hospital
1001 PENNSYLVANIA AVE
OTTUMWA, IA 52501
Physical Medicine & Rehabilitation
1001 PENNSYLVANIA AVE
OTTUMWA, IA 52501
Internal Medicine
1001 PENNSYLVANIA AVE
OTTUMWA, IA 52501
Nurse Practitioner (Family)
1001 PENNSYLVANIA AVE
OTTUMWA, IA 52501
Family Medicine
1001 PENNSYLVANIA AVE
OTTUMWA, IA 52501
Emergency Medicine
1001 PENNSYLVANIA AVE
OTTUMWA, IA 52501
Nurse Practitioner
1001 PENNSYLVANIA AVE
OTTUMWA, IA 52501
Radiology (Radiation Oncology)
1001 PENNSYLVANIA AVE
OTTUMWA, IA 52501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taniya Pradhan's NPI number?

The NPI number for Taniya Pradhan is 1275709859. It was assigned to this individual provider in the NPPES registry on May 5, 2008.

Where is Taniya Pradhan located?

Taniya Pradhan practices at 1001 Pennsylvania Ave, Ottumwa, IA 52501. The listed phone number is (641) 684-2300.

What is Taniya Pradhan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Taniya Pradhan enrolled in Medicare?

Yes. Taniya Pradhan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Taniya Pradhan accept?

Health plans from Arkansas Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Alabama and 14 other insurers list Taniya Pradhan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Taniya Pradhan affiliated with any hospitals?

According to CMS data, Taniya Pradhan is affiliated with Atrium Health Floyd Medical Center and United Hospital Center, Inc.

When was this NPI record last updated?

The NPPES record for Taniya Pradhan was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.